ATI LPN
Pediatrics Mental Health Cognition Questions Questions
Question 1 of 5
The client's medication has recently been changed from lithium carbonate (Eskalith) to valproic acid (Depakote). When the client asks the nurse to explain the reasons for the change in medication, the nurse should make which statement?
Correct Answer: A
Rationale: Lithium and Depakote both stabilize mood in bipolar disorder but differ in mechanism and side effects (A). They’re not chemically related (B), Depakote treats mania too (C), and side effects differ (D).
Question 2 of 5
The nurse has taught a chronically anxious client the procedure for using muscle relaxation and deep breathing as calming techniques. Which comment by the client indicates that more teaching is needed?
Correct Answer: D
Rationale: Practicing only during anxiety (D) limits effectiveness; daily practice (A) builds skill and reduces baseline anxiety (C), indicating more teaching is needed for proactive use.
Question 3 of 5
An 18 yr old client was hospitalized for anorexia nervosa. After 1 week of treatment, the nursing team met to evaluate the client’s progress. Signs of improvement would be indicated by
Correct Answer: C
Rationale: Weight gain (C) is a primary indicator of improvement in anorexia nervosa, reflecting nutritional progress. Talking (A), attending groups (B), and shaping up (D) are less objective or may indicate resistance.
Question 4 of 5
What symptom would the nurse expect to find when assessing a client with OCPD?
Correct Answer: C
Rationale: OCPD clients struggle with completing projects (C) due to perfectionism and indecision. They suppress feelings (not A), lack spontaneity (not B), and can’t tolerate mistakes (not D).
Question 5 of 5
A client tells the nurse that his co-workers are sabotaging the computer. When the nurse asks questions, the client becomes argumentative. What is the most appropriate intervention for the nurse to implement?
Correct Answer: C
Rationale: Clear and consistent speech (C) de-escalates paranoia and argumentation by providing calm, predictable communication, avoiding confrontation. Venting (A) may escalate, denial (B) invalidates, and isolation (D) is punitive.